1/7. Haemorrhagic lumbar synovial cyst. A cause of acute radiculopathy.A total of 254 cases of synovial cysts of the spine have been reported in the English literature, but only eight have been associated with haemorrhage. We describe a 55-year-old man with acute radiculopathy resulting from haemorrhage involving a synovial cyst at a lumbar facet joint. Traumatic factors could have caused bleeding around or into the synovial cyst. Treatment by resection of the cyst and evacuation of the haematoma led to complete neurological recovery.- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
2/7. Subacute subdural haematoma complicating lumbar microdiscectomy.There have been no previous reports of a spinal subdural haematoma occurring as a complication of spinal surgery. We highlight the pitfalls in the diagnosis and management of a subacute subdural haematoma resulting from a dural tear which occurred as a surgical complication of microdiscectomy.- - - - - - - - - - ranking = 6keywords = haematoma (Clic here for more details about this article) |
3/7. Spontaneous haematoma of the iliac psoas muscle: a case report and review of the literature.Spontaneous haematomas of the iliac psoas muscle are rare lesions seen in patients receiving anticoagulant agents or suffering from clotting disorders. We report the rare case of a spontaneous iliac psoas haematoma causing femoral neuropathy in a patient not undergoing anticoagulant treatment or suffering from a coagulopathy. After conservative treatment the patient was entirely asymptomatic, and magnetic resonance imaging demonstrated complete dissolution of the haematoma. Spontaneous iliac psoas haematomas should be considered in the differential diagnosis of leg pain in otherwise healthy patients.- - - - - - - - - - ranking = 8keywords = haematoma (Clic here for more details about this article) |
4/7. Cervical cord extradural haematoma with familial cutaneous haemangiomas.This case report confirms the link between familial cutaneous haemangiomas and haemangiomas of the spinal extradural space. Haemorrhage from a cervical extradural haemangioma may cause a haematoma resulting in an anterior cord syndrome. Recovery is possible with early diagnosis and surgical decompression at the involved level. If the diagnosis is not made the patient may die from this extradural cervical compression. Diagnosis involves myelography with spinal angiography to confirm the site and extent of both haemangioma and extradural haematoma.- - - - - - - - - - ranking = 6keywords = haematoma (Clic here for more details about this article) |
5/7. Aortic pathology revealed by MRI in patients with clinical suspicion of spinal disease.In five patients with clinical suspicion of spinal disease, MRI of the spine revealed unexpected aortic pathology explaining the symptoms. No significant intraspinal pathology was found on MRI. However, in one patient with clinical suspicion of spinal stenosis, an aortic occlusion was detected on MR images of the spine. The lower extremity ischaemia, caused by the occlusion, was responsible for the symptoms. In another patient a paravertebral haematoma from a ruptured aortic aneurysm resulted in spinal nerve compression, thought before MRI to be caused by a spinal tumour. In three patients aortic aneurysm or dissection resulted in spinal cord ischaemia with symptoms mimicking those of compressive spinal disease. Thus, if MRI of the spine does not provide an explanation for the patient's symptoms, examination of the aorta is recommended.- - - - - - - - - - ranking = 1keywords = haematoma (Clic here for more details about this article) |
6/7. Spinal subdural haematoma as a complication of immediate epidural blood patch.PURPOSE: The authors report a case of a patient who developed spinal subdural haematoma after a series of epidural blood patches to alert anaesthetists to this rare complication. CLINICAL FEATURES: The patient was a 35-yr-old woman without coagulopathy and was initially treated elsewhere for chronic pain by repetitive epidural phenol injections. When the dura was inadvertently punctured during subsequent attempts to inject phenol, immediate epidural blood patch was performed to treat or prevent headache. The patient developed cauda equina syndrome after six epidural blood patches. The clinical diagnosis was confirmed by magnetic resonance imaging and the intradural haematoma was evacuated surgically. The patient made a complete recovery. CONCLUSIONS: Epidural blood patch is not without complications. Transient backache and/or radiculopathy may occur in up to one-third of patients receiving a blood patch. If signs and symptoms continue or worsen, a spinal subarachnoid and/or subdural haematoma should be suspected and neurosurgical opinion sought. The technique used to identify the epidural space is important in preventing subdural injection of blood. The needle should be withdrawn after dural puncture and the epidural space identified at a different level. blood patches may carry a higher risk of serious complications after multiple epidural phenol injections because of fibrosis and obliteration of the epidural space. Magnetic resonance scans reliably demonstrate the extent of the pathology. If diagnosed and treated before irreversible changes occur, spinal intradural haematoma can result in complete recovery.- - - - - - - - - - ranking = 8keywords = haematoma (Clic here for more details about this article) |
7/7. Spinal epidural haematoma in haemophilia A.We report on a 27-year-old male Caucasian with severe haemophilia A who presented with acute onset of neck pain with cervical nerve root irritation, due to a spinal epidural haematoma. His past medical history revealed carrying of a moderate weight as a possible traumatic mechanism. Under immediate factor viii replacement therapy complete remission of the symptoms was achieved within several days. The diagnosis of spinal epidural haematoma and complete resorption was revealed by initial and follow-up magnetic resonance imaging studies of the cervical spine. Having reviewed the literature on spinal epidural haematoma, we present an overview of the treatment and outcome as regards haemophilia.- - - - - - - - - - ranking = 7keywords = haematoma (Clic here for more details about this article) |